Individual
ELISA ZARATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
195 MILES ST, ATHENS, GA 30601-1820
(706) 389-6789
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 389-6789
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW004918
GA
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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